BackgroundThe rectum cancer is associated with high rates of complications and morbidities
with great impact on the lives of affected individuals.AimTo evaluate quality of life, pain, anxiety and depression in patients treated for
medium and lower rectum cancer, submitted to surgical intervention.MethodsA descriptive cross-sectional study. Eighty-eight records of patients with medium
and lower rectum cancer, submitted to surgical intervention were selected, and
enrolled. Forty-seven patients died within the study period, and the other 41 were
studied. Question forms EORTC QLQ-C30 and EORTC QLQ-CR38 were used to assess
quality of life. Pain evaluation was carried out using the Visual Analogical
Scale, depression and anxiety were assessed through Depression Inventories and
Beck's Anxiety, respectively. The correlation between pain intensity, depression
and anxiety was carried out, and between these and the EORTC QLQ-C30 General Scale
for Health Status and overall quality of life, as well as the EORTC QLQ-CR38
functional and symptom scales.ResultsOf the 41 patients of the study, 52% presented pain, depression in 47%, and
anxiety in 39%. There was a marking positive correlation between pain intensity
and depression. There was a moderate negative correlation between depression and
general health status, and overall quality of life as well as pain intensity with
the latter. There was a statistically significant negative correlation between
future depression perspective and sexual function, and also a strong positive
correlation between depression and sexual impairments. A positive correlation
between anxiety and gastro-intestinal problems, both statistically significant,
was observed.ConclusionEvaluation scales showed detriment on quality life evaluation, besides an elevated
incidence of pain, depression, and anxiety; a correlation among these, and factors
which influence on the quality of life of post-surgical medium and lower rectum
cancer patients was observed.